During primary sex determination in mammals, the presence of Sry gene on the Y-chromosome is the major factor in determining if male or female gonads will develop. Expression of Sry protein activates the Sox9 gene, which triggers the expression of testis-forming genes and blocks the expression of ovary-forming genes. XY females are genotypically male but phenotypically female. If 15% of XY females have the Sry gene, why do they phenotypically develop into females?

XY females phenotypically develop into females because the presence of the Sry gene alone is not sufficient to fully determine male gonad development. In addition to Sry, other genetic and hormonal factors are required for the development of testes and the subsequent production of male sex hormones, such as testosterone.

Even though 15% of XY females have the Sry gene, they may lack other genetic factors or hormonal influences necessary for testis development and male phenotypic characteristics. Furthermore, the presence of ovary-forming genes in these individuals may also contribute to the development of female phenotypes.

Thus, the development of male or female gonads and phenotypes is a complex process that involves the interaction of multiple genes and hormones. The absence of certain factors or the presence of conflicting factors can lead to the development of female phenotypes despite having the Sry gene.

XY females phenotypically develop into females despite having the Sry gene due to other factors involved in the process of sex determination. While the presence of the Sry gene on the Y-chromosome is a major factor in determining if male or female gonads will develop, it is not the sole determinant of sex phenotype.

The development of male or female phenotypes is a complex process that involves multiple genetic and hormonal interactions. The expression of the Sry protein, as a result of the Sry gene, activates the Sox9 gene. Sox9 triggers the expression of testis-forming genes and suppresses the expression of ovary-forming genes.

However, there are other genes and molecular pathways involved in sex determination that can influence the outcome. These include genes such as DAX1, RSPO1, and WNT4. If any of these genes or pathways are disrupted or altered, they can override the effect of the Sry gene and result in female development.

In the case of XY females, it is likely that there are mutations or variations in genes other than Sry that affect the development of male gonads. These mutations may alter the downstream signaling pathways of sex determination, leading to the development of female gonads and the associated female phenotype.

It is important to note that sex determination and differentiation is a complex process with many factors involved. Although the presence of the Sry gene is a significant factor in determining male development, it is not always sufficient to override the influence of other genes or molecular signals that can lead to female development.

XY females, despite having the Sry gene on their Y chromosome, typically develop phenotypically as females instead of males due to a phenomenon known as "gene dosage compensation" or "gene dosage effect." To understand why this occurs, let's delve further into the biological processes involved.

During embryonic development, the presence of the Sry gene on the Y chromosome initiates a cascade of genetic events. The Sry gene encodes a protein that acts as a transcription factor, responsible for activating certain genes and suppressing others. Specifically, the Sry protein activates the Sox9 gene, which is crucial for the development of male gonads.

Once Sox9 is activated, it triggers the expression of several other genes that promote the development of testis structures and inhibit the development of ovarian structures. This ultimately leads to the differentiation of male gonads, typically resulting in the development of male sex organs in individuals with XY chromosomes.

However, the presence of the Sry gene alone is not sufficient to ensure masculine development. The phenotypic outcome also depends on the dosage of the genes involved. In other words, the amount of genetic material contributed by the Y chromosome, including the Sry gene, plays a critical role.

In XY females, despite having the Sry gene, the Sry dosage is typically reduced compared to XY males. This reduction in dosage can be caused by various genetic factors, such as genetic mutations or recombination events during meiosis. As a result, the amount of Sry protein produced is lower than in typical males.

The reduced Sry dosage influences the expression levels of downstream target genes, including Sox9 and other testis-forming genes. Since the dosage of these critical genes is insufficient, the development of male gonads and reproductive structures is compromised. Consequently, the female gonadal structures that would develop by default in the absence of Sry expression take over.

These XY females (genotypically male but phenotypically female) experience a feminized or female-like development due to the insufficient Sry dosage. They may have characteristics such as the absence of male reproductive organs or the presence of rudimentary, non-functional testes or ambiguous genitalia.

In summary, the phenotypic development of XY females into females, despite having the Sry gene, is primarily influenced by gene dosage effects. The reduced dosage of the Sry gene leads to insufficient activation of testis-forming genes, resulting in the development of female gonads and female-like external genitalia.